MEDICARE: DR. MIN JIAN LI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	CA006214	CA

General Provider Information

NPI Number	:	1225060304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIN JIAN LI

Provider Business Mailing Address
First Line	:	1505 IRVING ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1908
Country	:	US
Telephone Number	:	415-681-3560
Fax Number	:	415-681-3560

Provider Business Practice Location Address
First Line	:	1505 IRVING ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1908
Country	:	US
Telephone Number	:	415-681-3560
Fax Number	:	415-681-3560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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